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JYMS : Journal of Yeungnam Medical Science

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HOME > J Yeungnam Med Sci > Volume 31(1); 2014 > Article
Case Report Non-surgical treatment of hemorrhagic shock caused by rupture of iatrogenic pseudoaneurysm.
Soon Young Kim, Tae Jun Kim, Seong Kyun Na, Seung Ah Park, Dong Min Jung, Yong Kyun Kim, Sang Ho Jo
Journal of Yeungnam Medical Science 2014;31(1):17-20
Published online: June 30, 2014
Department of Internal Medicine, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang, Korea.
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Iatrogenic femoral artery pseudoaneurysm is a complication in patients undergoing catheterization. The risk increased when large-bore sheaths, concomitant anticoagulation therapy, and antiplatelet therapy are used during the intervention. Ultrasound-guided thrombin injection has become the treatment of choice. Rapid expansion, rupture, infection, and mass effect resulting in distal or cutaneous ischaemia or peripheral neuropathy, as well as failure of other treatment options are all indications for surgery. We report a 48-year-old man who developed hemorrhagic shock due to femoral pseudoaneurysm rupture after coronary angiography, and successfully treated by ultrasound-guided thrombin injection.

JYMS : Journal of Yeungnam Medical Science